Active NPI
Donna Lynn Ellis, DOCTOR OF PHARMACY
- Pharmacist
- Memphis, TN
National Provider Identifier
1124130984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000008543
- Practice address
- 1030 Jefferson Ave
Inpatient Pharmacy Db1102
Memphis, TN 38104-2127 - Phone
- (901) 523-8990
- Fax
- (901) 577-7306
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000008543 | TN | Primary |
Addresses
Primary practice location
1030 Jefferson Ave
Inpatient Pharmacy Db1102
Memphis, TN 38104-2127
Mailing address
1823 N Parkway
Memphis, TN 38112-5021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000008543 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124130984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1823 N PARKWAY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381125021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 JEFFERSON AVE",
"address_2": "INPATIENT PHARMACY DB1102",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042127",
"telephone_number": "901-523-8990",
"fax_number": "901-577-7306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "DONNA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000008543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.